A Stronger Cancer Centers Program Report of a Study (1989) / Chapter Skim
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Introduction
Introduction
Pages 1-8
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to conduct a study of the cancer centers core grant program of the National Cancer Institute (NCI) and to make recommendations concerning the funding needs and organizational location and direction of the program.
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, and many centers are involved in cooperative oncology groups that conduct clinical trials supported by NCI, in NCI-supported working groups that foster research on cancer of specific organ systems (e.g., bladder, breast, pancreas) , in cancer prevention and control research and other activities, and in other aspects of the national cancer program, such as operation of NCI's cancer information system and participation in the~Community Clinical Oncology Program (CCOP)
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. Includes $1 million administered separately by NCI's Division of Extramural Activities for a program.of supplemental core grants to existing cancer centers that are making special efforts to address high rates of cancer prevalence and mortality in minority populations.
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, Fiscal Year 1988 or 1989 500 . 200 _ _ NCI Other NIH ACS NSF Private Sector NOTE: NCI column does not include core grant awards.
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On average, more than half of the grant funds are used to support services and resources that are shared by NCIfunded research projects, ranging from electron microscopes and other sophisticated research equipment to biostatistics- staff units to laboratory animal and glass-washing facilities. These services and resources involve economies of scale that cancer researchers could not achieve on their own with individual research grants.4 ~~ hi_ _~_~^v^~_ ~~ ^~—van eve ~~l I—~1~11 The core grant also allows centers flembili~ to explore new research leads and to recruit and retain promising staff.
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, 1 (. 06, Staff Investigators Shared Resources 51 NOTE: The analy~le is based on authorized direct costs, excluding supplements and administrative adjustments.
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Currently, there are 15 laboratory science centers that do only basic research, 41 clinical research centers that do clinical, basic laboratory, and, In some cases, cancer control research, and 3 consortium centers that focus on cancer control.s In the 1970s, 20 of the clinical research centers also were designated as broadly based "comprehensive" centers under the terms of the National Cancer Act of 1971. They are not only expected to do research and trading, but also to demonstrate state-of-the-art patient care and to conduct cancer control activities (e.g., community education, outreach, and intervention)
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The IOM agreed to undertake the study on short notice because the cancer centers supported by the NCI represent a valuable resource in the nation's efforts to understand, prevent, treat, and address the consequences of cancer. The TOM was asked specifically to address funding and organization issues concerning the core grant program, but the TOM committee found it necessary to proceed first by reviewing the purpose of the grants and the role of cancer centers in the national cancer program relative to other NCIsupported programs.
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